How much skin should remain exposed between the stoma and the ring of the appliance?
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Turnbull GB. Ostomy statistics: the $64,000 question. Ostomy Wound Manage. 2003;49(6):22–3. Show PubMed Google Scholar Rombeau J. Physiologic and metabolic effects of intestinal stomas. In: Fazio VW, Church JM, Wu JS, editors. Atlas of intestinal stomas. New York: Springer; 2012. Google Scholar Parekh N, Seidner DL. Medical management of the high output enterostomy and enterocutaneous fistula. In: Fazio VW, Church JM, Wu JS, editors. Atlas of intestinal stomas. New York: Springer; 2012. Google Scholar Kent DJ, Arnold Long M, Bauer C. Revisiting colostomy irrigation: a viable option for persons with permanent descending and sigmoid colostomies. J Wound Ostomy Continence Nurs. 2015;42(2):162–4. CrossRef Google Scholar Nightingale J, Woodward JM, Small B, Nutrition Committee of the British Society of Gastroenterology. Guidelines for management of patients with a short bowel. Gut. 2006;55 Suppl 4:iv1–12. PubMed PubMed Central Google Scholar Teitelbaum EN, Vaziri K, Zettervall S, Amdur RL, Orkin BA. Intraoperative small bowel length measurements and analysis of demographic predictors of increased length. Clin Anat. 2013;26(7):827–32. PubMed Google Scholar Hendren S, et al. Clinical practice guidelines for ostomy surgery. Dis Colon Rectum. 2015;58(4):375–87. CrossRef Google Scholar Salvadalena G, et al. WOCN Society and ASCRS position statement on preoperative stoma site marking for patients undergoing colostomy or ileostomy surgery. J Wound Ostomy Continence Nurs. 2015;42(3):249–52. CrossRef Google Scholar Bass EM, et al. Does preoperative stoma marking and education by the enterostomal therapist affect outcome? Dis Colon Rectum. 1997;40(4):440–2. CrossRef CAS PubMed Google Scholar Parmar KL, et al. A prospective audit of early stoma complications in colorectal cancer treatment throughout the Greater Manchester and Cheshire colorectal cancer network. Colorectal Dis. 2011;13(8):935–8. CrossRef CAS PubMed Google Scholar Person B, et al. The impact of preoperative stoma site marking on the incidence of complications, quality of life, and patient’s independence. Dis Colon Rectum. 2012;55(7):783–7. CrossRef PubMed Google Scholar Whitehead A, Seah A, Cataldo P. Technical tips for difficult stomas. In: Steele S et al., editors. Complexities in colorectal surgery: decision-making and management. New York: Springer; 2014. Google Scholar Erwin-Toth P, Hocevar B, Stricker LJ. Wound, ostomy, and continence/enterostomal therapy (WOC/ET) nursing. In: Fazio VW, Church JM, Wu JS, editors. Atlas of intestinal stomas. New York: Springer; 2012. Google Scholar Sjodahl R, Anderberg B, Bolin T. Parastomal hernia in relation to site of the abdominal stoma. Br J Surg. 1988;75(4):339–41. CrossRef CAS PubMed Google Scholar Hardt J, et al. Lateral pararectal versus transrectal stoma placement for prevention of parastomal herniation. Cochrane Database Syst Rev. 2013;11:CD009487. Google Scholar Chaudhri S, Brown L, Hassan I, Horgan AF. Preoperative intensive, community-based vs. traditional stoma education: a randomized, controlled trial. Dis Colon Rectum. 2005;48(3):504–9. CrossRef PubMed Google Scholar Younis J, et al. Focused preoperative patient stoma education, prior to ileostomy formation after anterior resection, contributes to a reduction in delayed discharge within the enhanced recovery programme. Int J Colorectal Dis. 2012;27(1):43–7. CrossRef PubMed Google Scholar Stocchi L. Ileostomy. In: Fazio VW, Church JM, Wu JS, editors. Atlas of intestinal stomas. New York: Springer; 2012. Google Scholar Cottam J, Richards K, Hasted A, Blackman A. Results of a nationwide prospective audit of stoma complications within 3 weeks of surgery. Colorectal Dis. 2007;9(9):834–8. CrossRef CAS PubMed Google Scholar Speirs M, et al. Ileostomy rod—is it a bridge too far? Colorectal Dis. 2006;8(6):484–7. CrossRef CAS PubMed Google Scholar Salum M, et al. Does sodium hyaluronate- and carboxymethylcellulose-based bioresorbable membrane (Seprafilm) decrease operative time for loop ileostomy closure? Tech Coloproctol. 2006;10(3):187–90. Discussion 190–1. CrossRef CAS PubMed Google Scholar Tang CL, Seow-Choen F, Fook-Chong S, Eu KW. Bioresorbable adhesion barrier facilitates early closure of the defunctioning ileostomy after rectal excision: a prospective, randomized trial. Dis Colon Rectum. 2003;46(9):1200–7. CrossRef PubMed Google Scholar Tjandra JJ, Chan MK. A sprayable hydrogel adhesion barrier facilitates closure of defunctioning loop ileostomy: a randomized trial. Dis Colon Rectum. 2008;51(6):956–60. CrossRef PubMed Google Scholar Hayden DM, et al. Hospital readmission for fluid and electrolyte abnormalities following ileostomy construction: preventable or unpredictable? J Gastrointest Surg. 2013;17(2):298–303. CrossRef PubMed Google Scholar Hignett S, Parmar CD, Lewis W, Makin CA, Walsh CJ. Ileostomy formation does not prolong hospital length of stay after open anterior resection when performed within an enhanced recovery programme. Colorectal Dis. 2011;13(10):1180–3. CrossRef CAS PubMed Google Scholar Erwin-Toth P, Thompson SJ, Davis JS. Factors impacting the quality of life of people with an ostomy in North America: results from the Dialogue Study. J Wound Ostomy Continence Nurs. 2012;39(4):417–22. Quiz 423–4. CrossRef PubMed Google Scholar Altuntas YE, et al. The role of group education on quality of life in patients with a stoma. Eur J Cancer Care (Engl). 2012;21(6):776–81. CrossRef CAS Google Scholar UOAA. Available from http://www.ostomy.org/Home.html# Google Scholar Ostomy Guidelines Task Force, et al. Management of the patient with a fecal ostomy: best practice guideline for clinicians. J Wound Ostomy Continence Nurs. 2010;37(6):596–8. CrossRef Google Scholar Sheetz KH, et al. Complication rates of ostomy surgery are high and vary significantly between hospitals. Dis Colon Rectum. 2014;57(5):632–7. CrossRef PubMed PubMed Central Google Scholar Salvadalena G. Incidence of complications of the stoma and peristomal skin among individuals with colostomy, ileostomy, and urostomy: a systematic review. J Wound Ostomy Continence Nurs. 2008;35(6):596–607. Quiz 608–9. CrossRef PubMed Google Scholar Herlufsen P, et al. Study of peristomal skin disorders in patients with permanent stomas. Br J Nurs. 2006;15(16):854–62. CrossRef CAS PubMed Google Scholar Alvey B, Beck DE. Peristomal dermatology. Clin Colon Rectal Surg. 2008;21(1):41–4. CrossRef PubMed PubMed Central Google Scholar Nybaek H, Bang Knudsen D, Norgaard Laursen T, Karlsmark T, Jemec GB. Skin problems in ostomy patients: a case-control study of risk factors. Acta Derm Venereol. 2009;89(1):64–7. CrossRef PubMed Google Scholar Lyon CC, Smith AJ, Beck MH, Wong GA, Griffiths CE. Parastomal pyoderma gangrenosum: clinical features and management. J Am Acad Dermatol. 2000;42(6):992–1002. CrossRef CAS PubMed Google Scholar Poritz LS, Lebo MA, Bobb AD, Ardell CM, Koltun WA. Management of peristomal pyoderma gangrenosum. J Am Coll Surg. 2008;206(2):311–5. CrossRef PubMed Google Scholar Weizman AV, et al. Pyoderma gangrenosum among patients with inflammatory bowel disease: a descriptive cohort study. J Cutan Med Surg. 2015;19(2):125–31. CrossRef Google Scholar Wu XR, et al. Risk factors for peristomal pyoderma gangrenosum complicating inflammatory bowel disease. J Crohns Colitis. 2013;7(5):e171–7. CrossRef PubMed Google Scholar Miller J, Yentzer BA, Clark A, Jorizzo JL, Feldman SR. Pyoderma gangrenosum: a review and update on new therapies. J Am Acad Dermatol. 2010;62(4):646–54. CrossRef CAS PubMed Google Scholar Hanley J. Effective management of peristomal pyoderma gangrenosum. Br J Nurs. 2011;20(7):S12, S14–7. CrossRef PubMed Google Scholar Ratnagobal S, Sinha S. Pyoderma gangrenosum: guideline for wound practitioners. J Wound Care. 2013;22(2):68–73. CrossRef CAS PubMed Google Scholar Kiran RP, O’Brien-Ermlich B, Achkar JP, Fazio VW, Delaney CP. Management of peristomal pyoderma gangrenosum. Dis Colon Rectum. 2005;48(7):1397–403. CrossRef CAS PubMed Google Scholar Pennick MO, Artioukh DY. Management of parastomal varices: who re-bleeds and who does not? A systematic review of the literature. Tech Coloproctol. 2013;17(2):163–70. CrossRef CAS PubMed Google Scholar Pabon-Ramos WM, Niemeyer MM, Dasika NL. Alternative treatment for bleeding peristomal varices: percutaneous parastomal embolization. Cardiovasc Intervent Radiol. 2013;36(5):1399–404. CrossRef PubMed Google Scholar Gordon P, Nivatvongs S, editors. Principles and practices of surgery of colon, rectum, and anus. St Louis: Quality Medical; 2006. Google Scholar Beck DE, Fazio VW, Grundfest-Broniatowski S. Surgical management of bleeding stomal varices. Dis Colon Rectum. 1988;31(5):343–6. CrossRef CAS PubMed Google Scholar Morris CS, Najarian KE. Transjugular intrahepatic portosystemic shunt for bleeding stomal varices associated with chronic portal vein occlusion: long-term angiographic, hemodynamic, and clinical follow-up. Am J Gastroenterol. 2000;95(10):2966–8. CrossRef CAS PubMed Google Scholar Ryu RK, et al. Treatment of stomal variceal hemorrhage with TIPS: case report and review of the literature. Cardiovasc Intervent Radiol. 2000;23(4):301–3. CrossRef CAS PubMed Google Scholar Samaraweera RN, et al. Stomal varices: percutaneous transhepatic embolization. Radiology. 1989;170(3 Pt 1):779–82. CrossRef CAS PubMed Google Scholar Wolfsen HC, Kozarek RA, Bredfeldt JE, Fenster LF, Brubacher LL. The role of endoscopic injection sclerotherapy in the management of bleeding peristomal varices. Gastrointest Endosc. 1990;36(5):472–4. CrossRef CAS PubMed Google Scholar Selby D, Jackson LD. Octreotide for control of bleeding peristomal varices in palliative care. J Pain Symptom Manage. 2015;49(3):e2–4. CrossRef Google Scholar De Ocampo ML. WOC nurse consult: peristomal varices. J Wound Ostomy Continence Nurs. 2012;39(2):178–9. CrossRef PubMed Google Scholar Wiesner RH, LaRusso NF, Dozois RR, Beaver SJ. Peristomal varices after proctocolectomy in patients with primary sclerosing cholangitis. Gastroenterology. 1986;90(2):316–22. CrossRef CAS PubMed Google Scholar Poritz LS, Koltun WA. Surgical management of ulcerative colitis in the presence of primary sclerosing cholangitis. Dis Colon Rectum. 2003;46(2):173–8. CrossRef PubMed Google Scholar Kartheuser AH, et al. Complications and risk factors after ileal pouch-anal anastomosis for ulcerative colitis associated with primary sclerosing cholangitis. Ann Surg. 1993;217(4):314–20. CrossRef CAS PubMed PubMed Central Google Scholar Kartheuser AH, et al. Comparison of surgical treatment of ulcerative colitis associated with primary sclerosing cholangitis: ileal pouch-anal anastomosis versus Brooke ileostomy. Mayo Clin Proc. 1996;71(8):748–56. CrossRef CAS PubMed Google Scholar Grucela AL, Steinhagen RM. Restorative proctocolectomy and ileal pouch-anal anastomosis for ulcerative colitis after liver transplant for primary sclerosing cholangitis: case report and review of literature. Am Surg. 2005;71(4):362–5. CrossRef PubMed Google Scholar Lian L, Menon KV, Shen B, Remzi F, Kiran RP. Inflammatory bowel disease complicated by primary sclerosing cholangitis and cirrhosis: is restorative proctocolectomy safe? Dis Colon Rectum. 2012;55(1):79–84. CrossRef PubMed Google Scholar Szmulowicz U, Hull T. Stoma prolapse. In: Fazio VW, Church JM, Wu JS, editors. Atlas of intestinal stomas. New York: Springer; 2012. Google Scholar Wu JS, Fazio VW. Difficult stomas. In: Schrock TR, editor. Perspectives in colon and rectal surgery. St. Louis: Quality Medical; 1998. Google Scholar Sanders DL, Kingsnorth AN. The modern management of incisional hernias. BMJ. 2012;344:e2843. CrossRef PubMed Google Scholar Kalady MF, Lavery IC. Parastomal hernias. In: Fazio VW, Church JM, Wu JS, editors. Atlas of intestinal stomas. New York: Springer; 2012. Google Scholar De Raet J, Delvaux G, Haentjens P, Van Nieuwenhove Y. Waist circumference is an independent risk factor for the development of parastomal hernia after permanent colostomy. Dis Colon Rectum. 2008;51(12):1806–9. CrossRef PubMed Google Scholar Pilgrim CH, McIntyre R, Bailey M. Prospective audit of parastomal hernia: prevalence and associated comorbidities. Dis Colon Rectum. 2010;53(1):71–6. CrossRef PubMed Google Scholar Albino FP, et al. Does mesh location matter in abdominal wall reconstruction? A systematic review of the literature and a summary of recommendations. Plast Reconstr Surg. 2013;132(5):1295–304. CrossRef CAS PubMed Google Scholar Rubin MS, Schoetz Jr DJ, Matthews JB. Parastomal hernia. Is stoma relocation superior to fascial repair? Arch Surg. 1994;129(4):413–8. Discussion 418–9. CrossRef CAS PubMed Google Scholar Sugarbaker PH. Prosthetic mesh repair of large hernias at the site of colonic stomas. Surg Gynecol Obstet. 1980;150(4):576–8. CAS PubMed Google Scholar Ellis CN. Short-term outcomes with the use of bioprosthetics for the management of parastomal hernias. Dis Colon Rectum. 2010;53(3):279–83. CrossRef PubMed Google Scholar Souza JM, Dumanian GA. Routine use of bioprosthetic mesh is not necessary: a retrospective review of 100 consecutive cases of intra-abdominal midweight polypropylene mesh for ventral hernia repair. Surgery. 2013;153(3):393–9. CrossRef PubMed Google Scholar Primus FE, Harris HW. A critical review of biologic mesh use in ventral hernia repairs under contaminated conditions. Hernia. 2013;17(1):21–30. CrossRef CAS PubMed PubMed Central Google Scholar Carbonell AM, Cobb WS. Safety of prosthetic mesh hernia repair in contaminated fields. Surg Clin North Am. 2013;93(5):1227–39. CrossRef PubMed Google Scholar Carbonell AM, Criss CN, Cobb WS, Novitsky YW, Rosen MJ. Outcomes of synthetic mesh in contaminated ventral hernia repairs. J Am Coll Surg. 2013;217(6):991–8. CrossRef PubMed Google Scholar Hansson BM, et al. Surgical techniques for parastomal hernia repair: a systematic review of the literature. Ann Surg. 2012;255(4):685–95. CrossRef PubMed Google Scholar Raigani S, et al. Single-center experience with parastomal hernia repair using retromuscular mesh placement. J Gastrointest Surg. 2014;18(9):1673–7. CrossRef PubMed Google Scholar Janes A, Cengiz Y, Israelsson LA. Randomized clinical trial of the use of a prosthetic mesh to prevent parastomal hernia. Br J Surg. 2004;91(3):280–2. CrossRef CAS PubMed Google Scholar Janes A, Cengiz Y, Israelsson LA. Preventing parastomal hernia with a prosthetic mesh: a 5-year follow-up of a randomized study. World J Surg. 2009;33(1):118–21. Discussion 122–3. CrossRef PubMed Google Scholar Serra-Aracil X, et al. Randomized, controlled, prospective trial of the use of a mesh to prevent parastomal hernia. Ann Surg. 2009;249(4):583–7. CrossRef PubMed Google Scholar Lopez-Cano M, et al. Use of a prosthetic mesh to prevent parastomal hernia during laparoscopic abdominoperineal resection: a randomized controlled trial. Hernia. 2012;16(6):661–7. CrossRef CAS PubMed Google Scholar Shabbir J, Chaudhary BN, Dawson R. A systematic review on the use of prophylactic mesh during primary stoma formation to prevent parastomal hernia formation. Colorectal Dis. 2012;14(8):931–6. CrossRef CAS PubMed Google Scholar Fleshman JW, et al. A prospective, multicenter, randomized, controlled study of non-cross-linked porcine acellular dermal matrix fascial sublay for parastomal reinforcement in patients undergoing surgery for permanent abdominal wall ostomies. Dis Colon Rectum. 2014;57(5):623–31. CrossRef PubMed Google Scholar Baker ML, Williams RN, Nightingale JM. Causes and management of a high-output stoma. Colorectal Dis. 2011;13(2):191–7. CrossRef CAS PubMed Google Scholar Avery ME, Snyder JD. Oral therapy for acute diarrhea. The underused simple solution. N Engl J Med. 1990;323(13):891–4. CrossRef CAS PubMed Google Scholar Nightingale JM, Lennard-Jones JE, Walker ER, Farthing MJ. Oral salt supplements to compensate for jejunostomy losses: comparison of sodium chloride capsules, glucose electrolyte solution, and glucose polymer electrolyte solution. Gut. 1992;33(6):759–61. CrossRef CAS PubMed PubMed Central Google Scholar Nightingale JM, Walker ER, Burnham WR, Farthing MJ, Lennard-Jones JE. Octreotide (a somatostatin analogue) improves the quality of life in some patients with a short intestine. Aliment Pharmacol Ther. 1989;3(4):367–73. CrossRef CAS PubMed Google Scholar Jeppesen PB. Pharmacologic options for intestinal rehabilitation in patients with short bowel syndrome. JPEN J Parenter Enteral Nutr. 2014;38(1 Suppl):45S–52. CrossRef CAS PubMed Google Scholar Geraghty JM, Talbot IC. Diversion colitis: histological features in the colon and rectum after defunctioning colostomy. Gut. 1991;32(9):1020–3. CrossRef CAS PubMed PubMed Central Google Scholar Hong SY, Kim do Y, Oh SY, Suh KW. Routine barium enema prior to closure of defunctioning ileostomy is not necessary. J Korean Surg Soc. 2012;83(2):88–91. CrossRef PubMed PubMed Central Google Scholar Kalady MF, Mantyh CR, Petrofski J, Ludwig KA. Routine contrast imaging of low pelvic anastomosis prior to closure of defunctioning ileostomy: is it necessary? J Gastrointest Surg. 2008;12(7):1227–31. CrossRef PubMed Google Scholar Khair G, et al. Routine use of gastrograffin enema prior to the reversal of a loop ileostomy. Dig Surg. 2007;24(5):338–41. CrossRef CAS PubMed Google Scholar da Silva GM, et al. Is routine pouchogram prior to ileostomy closure in colonic J-pouch really necessary? Colorectal Dis. 2004;6(2):117–20. CrossRef PubMed Google Scholar Selvaggi F, Pellino G, Canonico S, Sciaudone G. Is omitting pouchography before ileostomy takedown safe after negative clinical examination in asymptomatic patients with pelvic ileal pouch? An observational study. Tech Coloproctol. 2012;16(6):415–20. CrossRef CAS PubMed Google Scholar Perez RO, et al. Loop ileostomy morbidity: timing of closure matters. Dis Colon Rectum. 2006;49(10):1539–45. CrossRef PubMed Google Scholar Krand O, Yalti T, Berber I, Tellioglu G. Early vs. delayed closure of temporary covering ileostomy: a prospective study. Hepatogastroenterology. 2008;55(81):142–5. PubMed Google Scholar Omundsen M, et al. Early ileostomy closure: is there a downside? ANZ J Surg. 2012;82(5):352–4. CrossRef PubMed Google Scholar Worni M, et al. Early closure of ileostomy is associated with less postoperative nausea and vomiting. Dig Surg. 2011;28(5-6):417–23. CrossRef PubMed Google Scholar Danielsen AK, et al. Early closure of temporary ileostomy—the EASY trial: protocol for a randomised controlled trial. BMJ Open. 2011;1(1):e000162. CrossRef PubMed PubMed Central Google Scholar Phatak UR, et al. Impact of ileostomy-related complications on the multidisciplinary treatment of rectal cancer. Ann Surg Oncol. 2014;21(2):507–12. CrossRef PubMed Google Scholar Tulchinsky H, Shacham-Shmueli E, Klausner JM, Inbar M, Geva R. Should a loop ileostomy closure in rectal cancer patients be done during or after adjuvant chemotherapy? J Surg Oncol. 2014;109(3):266–9. CrossRef PubMed Google Scholar Fleming FJ, Gillen P. Reversal of Hartmann’s procedure following acute diverticulitis: is timing everything? Int J Colorectal Dis. 2009;24(10):1219–25. CrossRef PubMed Google Scholar Keck JO, et al. Reversal of Hartmann’s procedure: effect of timing and technique on ease and safety. Dis Colon Rectum. 1994;37(3):243–8. CrossRef CAS PubMed Google Scholar Pearce NW, Scott SD, Karran SJ. Timing and method of reversal of Hartmann’s procedure. Br J Surg. 1992;79(8):839–41. CrossRef CAS PubMed Google Scholar Roe AM, Prabhu S, Ali A, Brown C, Brodribb AJ. Reversal of Hartmann’s procedure: timing and operative technique. Br J Surg. 1991;78(10):1167–70. CrossRef CAS PubMed Google Scholar Gong J, et al. Stapled vs hand suture closure of loop ileostomy: a meta-analysis. Colorectal Dis. 2013;15(10):e561–8. CrossRef CAS PubMed Google Scholar Hull TL, Kobe I, Fazio VW. Comparison of handsewn with stapled loop ileostomy closures. Dis Colon Rectum. 1996;39(10):1086–9. CrossRef CAS PubMed Google Scholar Leung TT, MacLean AR, Buie WD, Dixon E. Comparison of stapled versus handsewn loop ileostomy closure: a meta-analysis. J Gastrointest Surg. 2008;12(5):939–44. CrossRef PubMed Google Scholar Hasegawa H, Radley S, Morton DG, Keighley MR. Stapled versus sutured closure of loop ileostomy: a randomized controlled trial. Ann Surg. 2000;231(2):202–4. CrossRef CAS PubMed PubMed Central Google Scholar Markides GA, Wijetunga IU, Brown SR, Anwar S. Meta-analysis of handsewn versus stapled reversal of loop ileostomy. ANZ J Surg. 2015;85(4):217–24. CrossRef Google Scholar Loffler T, et al. HAnd Suture Versus STApling for Closure of Loop Ileostomy (HASTA Trial): results of a multicenter randomized trial (DRKS00000040). Ann Surg. 2012;256(5):828–35. Discussion 835–6. CrossRef PubMed Google Scholar Camacho-Mauries D, Rodriguez-Diaz JL, Salgado-Nesme N, Gonzalez QH, Vergara-Fernandez O. Randomized clinical trial of intestinal ostomy takedown comparing pursestring wound closure vs conventional closure to eliminate the risk of wound infection. Dis Colon Rectum. 2013;56(2):205–11. CrossRef PubMed Google Scholar Reid K, Pockney P, Pollitt T, Draganic B, Smith SR. Randomized clinical trial of short-term outcomes following purse-string versus conventional closure of ileostomy wounds. Br J Surg. 2010;97(10):1511–7. CrossRef CAS PubMed Google Scholar Mazeh H, et al. Laparoscopic and open reversal of Hartmann’s procedure—a comparative retrospective analysis. Surg Endosc. 2009;23(3):496–502. CrossRef PubMed Google Scholar Haughn C, et al. Complication rates after Hartmann’s reversal: open vs. laparoscopic approach. Dis Colon Rectum. 2008; 51(8):1232–6. CrossRef PubMed Google Scholar Guenaga KF, Lustosa SA, Saad SS, Saconato H, Matos D. Ileostomy or colostomy for temporary decompression of colorectal anastomosis. Cochrane Database Syst Rev. 2007; 1:CD004647. Google Scholar Gooszen AW, Geelkerken RH, Hermans J, Lagaay MB, Gooszen HG. Quality of life with a temporary stoma: ileostomy vs. colostomy. Dis Colon Rectum. 2000;43(5): 650–5. CrossRef CAS PubMed Google Scholar Sakai Y, et al. Temporary transverse colostomy vs loop ileostomy in diversion: a case-matched study. Arch Surg. 2001;136(3):338–42. CrossRef CAS PubMed Google Scholar Edwards DP, Leppington-Clarke A, Sexton R, Heald RJ, Moran BJ. Stoma-related complications are more frequent after transverse colostomy than loop ileostomy: a prospective randomized clinical trial. Br J Surg. 2001;88(3):360–3. CrossRef CAS PubMed Google Scholar Klink CD, et al. Diversion stoma after colorectal surgery: loop colostomy or ileostomy? Int J Colorectal Dis. 2011;26(4): 431–6. CrossRef PubMed Google Scholar Rullier E, et al. Loop ileostomy versus loop colostomy for defunctioning low anastomoses during rectal cancer surgery. World J Surg. 2001;25(3):274–7. Discussion 277–8. CrossRef CAS PubMed Google Scholar Colombo R, Naspro R. Ileal conduit as the standard for urinary diversion after radical cystectomy for bladder cancer. Eur Urol Suppl. 2010;9(10):736–44. CrossRef Google Scholar Gakis G, Stenzl A. Ileal neobladder and its variants. Eur Urol Suppl. 2010;9(10):745–53. CrossRef Google Scholar Rowland RG, Mitchell ME, Bihrle R, Kahnoski RJ, Piser JE. Indiana continent urinary reservoir. J Urol. 1987;137(6):1136–9. CrossRef CAS PubMed Google Scholar Harris CF, Cooper CS, Hutcheson JC, Snyder 3rd HM. Appendicovesicostomy: the mitrofanoff procedure-a 15-year perspective. J Urol. 2000;163(6):1922–6. CrossRef CAS PubMed Google Scholar Cain MP, Casale AJ, Rink RC. Initial experience using a catheterizable ileovesicostomy (Monti procedure) in children. Urology. 1998;52(5):870–3. CrossRef CAS PubMed Google Scholar Ooi BS, Remzi FH, Fazio VW. Turnbull-Blowhole colostomy for toxic ulcerative colitis in pregnancy: report of two cases. Dis Colon Rectum. 2003;46(1):111–5. CrossRef PubMed Google Scholar Bhangu A, Nepogodiev D, Futaba K, West Midlands Research Collaborative. Systematic review and meta-analysis of the incidence of incisional hernia at the site of stoma closure. World J Surg. 2012;36(5):973–83. CrossRef PubMed Google Scholar Aydin HN, Remzi FH, Tekkis PP, Fazio VW. Hartmann’s reversal is associated with high postoperative adverse events. Dis Colon Rectum. 2005;48(11):2117–26. CrossRef PubMed Google Scholar Law WL, Chu KW, Choi HK. Randomized clinical trial comparing loop ileostomy and loop transverse colostomy for faecal diversion following total mesorectal excision. Br J Surg. 2002;89(6):704–8. CrossRef CAS PubMed Google Scholar How should the skin around the stoma look?The skin around your stoma should look just like the skin on the other side of your abdomen, or anywhere else on your body. The skin around the stoma should be intact without irritation, rash, or redness. A properly fitting skin barrier protects the skin from being irritated or damaged by the stoma drainage.
Should stoma be below skin level?A stoma will normally protrude slightly above the skin level. The length of the protrusion will depend on whether you have a colostomy or ileostomy (ileostomies tend to protrude further out) and the size of your bowel.
How much should a stoma stick out?Colostomies should typically protrude 1.5 to 2.5 cm and stomas of the small bowel should evert 2.5 to 3.5 cm. Stomas that do not evert at least 1 cm above the skin surface 48 hours after surgery have a 35% chance of causing problems.
When measuring a round stoma How should the skin barrier fit against the skin?A good fit is when the skin barrier opening fits where the skin and stoma meet, and you have filled in any gaps, creases, or folds. Measure stoma size with these guides before every barrier application during the first 6-8 weeks after ostomy surgery to be sure of stoma size as swelling reduces.
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